Your browser doesn't support javascript.
loading
Show: 20 | 50 | 100
Results 1 - 6 de 6
Filter
Add more filters










Publication year range
1.
Cir Cir ; 88(6): 703-707, 2020.
Article in English | MEDLINE | ID: mdl-33254196

ABSTRACT

BACKGROUND: Intermittent intraoperative neuromonitoring of the recurrent laryngeal nerve is the ideal complement in thyroid surgeries, decreasing thyroid injuries. OBJECTIVE: To analyze the prevalence of recurrent laryngeal nerve injuries with the use and without the use of neuromonitoring in thyroid surgery. METHOD: Observational, descriptive and retrospective study, in which a total of 571 patients were included between the years 2012-2018. Of which 180 neuromonitoring was used and 391 were not used. RESULTS: Of the 180 patients who underwent total thyroidectomy with the use of neuromonitoring, we had a total of 8 (4.4%) transient paralysis and 2 (1.1%) definitive. Without the use of neuromonitoring we obtain 12 (3%) transient paralysis and 7 (1.85%) definitive. CONCLUSIONS: We believe that the use of neuromonitoring complementary to surgery should be used routinely to the usual technique. And we also obtain significant results regarding the reduction of recurrent laryngeal nerve injuries with the use of intraoperative neuromonitoring.


ANTECEDENTES: La neuromonitorización intraoperatoria intermitente del nervio laríngeo recurrente es el complemento ideal en las cirugías tiroideas, ya que disminuye las lesiones. OBJETIVO: Analizar la prevalencia de lesiones del nervio laríngeo recurrente con y sin el uso de neuromonitorización en cirugía de tiroides. MÉTODO: Estudio observacional, descriptivo y retrospectivo, en el que se incluyeron 571 pacientes entre los años 2012 y 2018. De ellos, en 180 se utilizó neuromonitorización y en 391 no. RESULTADOS: De los 180 pacientes que se sometieron a tiroidectomía total con neuromonitorización hubo 8 (4.4%) parálisis transitorias y 2 (1.1%) parálisis definitivas. Sin el uso de neuromonitorización hubo 12 (3%) parálisis transitorias y 7 (1.85%) definitivas. CONCLUSIONES: Creemos que la neuromonitorización debe usarse sistemáticamente con la técnica habitual. Obtenemos resultados significativos con respecto a la reducción de las lesiones del nervio laríngeo recurrente con el uso de neuromonitorización intraoperatoria.


Subject(s)
Recurrent Laryngeal Nerve Injuries , Humans , Recurrent Laryngeal Nerve , Recurrent Laryngeal Nerve Injuries/epidemiology , Recurrent Laryngeal Nerve Injuries/prevention & control , Retrospective Studies , Thyroidectomy
2.
Cir. Esp. (Ed. impr.) ; 96(9): 529-536, nov. 2018. ilus
Article in Spanish | IBECS | ID: ibc-176543

ABSTRACT

El uso de la fluorescencia en cirugía se ha ampliado y difundido en los últimos años, lo que ha constituido un auténtico fenómeno tecnológico ligado a la aparición de dispositivos adaptados a su utilización en los abordajes laparoscópicos y robóticos. La cirugía guiada por fluorescencia en el campo de la cirugía endocrina está igualmente en auge. Cada vez son más los artículos que describen su uso en la cirugía de las glándulas tiroides, paratiroides y suprarrenal, aunque con series aun modestas y con protocolos diversos no estandarizados. Existen actualmente diversas áreas de desarrollo de la aplicación de la fluorescencia en cirugía endocrina. Cabe destacar el uso de la fluorescencia con verde de indocianina en cirugía suprarrenal, la identificación y predicción de la perfusión paratiroidea con verde de indocianina, y la autofluorescencia de las glándulas paratiroides. El objetivo de este artículo es revisar las actuales aplicaciones de la fluorescencia en cirugía endocrina


The use of fluorescence in surgery has expanded and become widespread in recent years, which has led to a real technological phenomenon with the emergence of devices adapted for use in laparoscopic and robotic approaches. Fluorescence-guided surgery in the field of endocrine surgery is also on the rise. More and more articles describe its use in surgery of the thyroid, parathyroid and adrenal glands, although the series are still modest in size and protocols have not been standardized. There are currently several developing areas for the application of fluorescence in endocrine surgery, including the use of fluorescence with indocyanine green in adrenal gland surgery, the identification and prediction of parathyroid perfusion with indocyanine green, and autofluorescence of the parathyroid glands. The objective of this article is to review the current applications of fluorescence in endocrine surgery


Subject(s)
Humans , Endocrine Surgical Procedures/trends , Fluorescence , Surgery, Computer-Assisted/trends , Thyroid Gland/surgery , Parathyroid Glands/surgery , Adrenal Glands/surgery , Indocyanine Green , Vena Cava, Inferior/diagnostic imaging , Parathyroid Glands/diagnostic imaging , Radioactive Tracers
3.
Cir Esp (Engl Ed) ; 96(9): 529-536, 2018 Nov.
Article in English, Spanish | MEDLINE | ID: mdl-30327136

ABSTRACT

The use of fluorescence in surgery has expanded and become widespread in recent years, which has led to a real technological phenomenon with the emergence of devices adapted for use in laparoscopic and robotic approaches. Fluorescence-guided surgery in the field of endocrine surgery is also on the rise. More and more articles describe its use in surgery of the thyroid, parathyroid and adrenal glands, although the series are still modest in size and protocols have not been standardized. There are currently several developing areas for the application of fluorescence in endocrine surgery, including the use of fluorescence with indocyanine green in adrenal gland surgery, the identification and prediction of parathyroid perfusion with indocyanine green, and autofluorescence of the parathyroid glands. The objective of this article is to review the current applications of fluorescence in endocrine surgery.


Subject(s)
Endocrine Surgical Procedures/methods , Endocrine System Diseases/diagnostic imaging , Endocrine System Diseases/surgery , Optical Imaging , Coloring Agents , Humans , Indocyanine Green
4.
Cir. Esp. (Ed. impr.) ; 78(1): 55-57, jul. 2005. ilus
Article in Es | IBECS | ID: ibc-037785

ABSTRACT

Los quistes epidermoides esplénicos son tumoraciones benignas muy poco frecuentes. El tratamiento de éstas ha evolucionado con el tiempo y tiende a ser cada vez menos agresivo y más conservador. Nosotros presentamos a través del caso clínico de una mujer joven con un quiste epidermoide gigante, que requirió la realización de una esplenectomía total vía abierta, una revisión de la bibliografía sobre las tumoraciones congénitas benignas de bazo (AU)


Giant epidermoid splenic cysts are rare benign tumors. Their treatment is becoming increasingly less aggressive and more conservative. We report the case of a young woman with a giant epidermoid cyst, which required open total splenectomy, and review the literature on benign congenital tumors of the spleen (AU)


Subject(s)
Female , Adult , Humans , Epidermal Cyst/diagnosis , Epidermal Cyst/etiology , Epidermal Cyst/surgery , Spleen/pathology , Spleen/surgery , Abdomen, Acute/diagnosis , Abdomen, Acute/pathology , Laparoscopy/methods , Laparoscopy , Splenectomy , Epidermal Cyst
5.
Cir Esp ; 78(1): 55-7, 2005 Jul.
Article in Spanish | MEDLINE | ID: mdl-16420793

ABSTRACT

Giant epidermoid splenic cysts are rare benign tumors. Their treatment is becoming increasingly less aggressive and more conservative. We report the case of a young woman with a giant epidermoid cyst, which required open total splenectomy, and review the literature on benign congenital tumors of the spleen.


Subject(s)
Epidermal Cyst/surgery , Splenic Diseases/surgery , Adult , Epidermal Cyst/diagnostic imaging , Female , Humans , Neoplasm Staging , Splenectomy , Splenic Diseases/diagnostic imaging , Tomography, X-Ray Computed
6.
Cir. Urug ; 69(3/4): 204-207, jul.-dic. 1999. graf
Article in Spanish | LILACS | ID: lil-301348

ABSTRACT

El tratamiento quirúrgico de la hernia inguinal ha sido objeto de múltiples controversias con el desarrollo de distintas técnicas. En la década de los ochenta esta controversia ha dado paso a la implantación de dos técnicas que por sus resultados se han distanciado claramente de otras formas de tratamiento. La herniorrafia de Shouldice y la interpretación de malla de prolene son en la actualidad dos técnicas compatibles y con unos resultados excelentes a largo plazo. Nuestro objetivo era determinar la capacidad de reproducción y los resultados en un mismo grupo de cirujanos. Concluimos que teniendo ambas resultados muy similares, el fácil desarrollo técnico de la malla de prolene desplaza a las demás técnicas


Subject(s)
Humans , Hernia, Inguinal , Surgical Mesh
SELECTION OF CITATIONS
SEARCH DETAIL
...